Betty Ann Dobbs, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ackerman, MS
NPI 1558022665 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1558022665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905147 (MS)
- Practice address
- 1030 West Main Street
Ackerman, MS 39772 - Phone
- (662) 705-3239
- Fax
- (662) 705-8795
- NPI assigned
- Jan 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precise Clinical Neuroscience Specialists
Practice addresses (Care Compare)
200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220609002107 | MS | Practitioner - Nurse Practitioner | 6406234046 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R876207 | MS | MD | Registered Nurse |
| 905147 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yeates Consulting ,LLC | Current |
Accepting new patients | |
| Right Track Medical Group, Inc | Current |
Accepting new patients | |
| Positive Thinking LLC | Current |
Accepting new patients | |
| Father'S Child Ministry | Past | Accepting new patients |
Locations
1030 W Main St
Ackerman, MS 39735
Phone (662) 705-3239
104 Brickerton St
Columbus, MS 39701
Phone (662) 251-4632
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 905147 | MS | |
| Primary Care Nurse Practitioner | 363LP2300X | 905147 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905147 | MS | Yes |
| Registered Nurse | 163W00000X | R876207 | MS | |
| Community Health Registered Nurse | 163WC1500X | R876207 | MS | |
| Nurse Practitioner | 363L00000X | 905147 | MS |
Addresses
Primary practice location
1030 West Main Street
Ackerman, MS 39772
Mailing address
1030 West Main St
268 Penderville Rd Weir, Ms 39772 (Home Address)
Ackerman, MS 39735
Phone (662) 285-3239
Other practice location 1
102 Brickerton St
Columbus, MS 39701-3608
Phone (662) 570-1109 ext. 104
Other providers in Ackerman, MS
- Choctaw Regional Medical Center
- Clarity Counseling Group LLC
- Sylvia Crutchfield
- Brittany Dempsey Dickerson
- Discount Drugs of Ms LLC
- Shannon Dobbs
- Jan Ganann
- Reginald Gandy
- Shunda Lynette Garner
- Celeste Prather Hamous
All providers in Ackerman, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.